| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.31 | $9.31 | $9.58 | |
Aetna
| Professional | $9.09 | $9.31 | $9.31 | |
CareSource
| Facility | $3.09 | $3.51 | $6.55 | |
Cigna
| Facility | $9.31 | $9.31 | $85.00 | |
Cigna
| Professional | $9.31 | $9.31 | $20.29 | |
United
| Professional | $9.31 | $10.95 | $10.95 |